Pennsylvania State Grange
Heritage Quilt Trail Registration
Grange Name:
Number:
(Give physical address of Grange - NOT Master or
Secretary's address)
County of location:
Address (street):
(city)
___PA___
(zip)
Quilt Block Design:
Reason Chosen:
Date Mounted:
Contact Person:
Phone:
Please email a photo of your quilt to
publicrelations@pagrange.org ....or....
Send the photo via U.S Mail to
PA Grange State Headquarters
20 Erford Road, Suite 216
Lemoyne, PA 17043